Leverage and Other Change Strategies

The article below explains how we modify the highly successful pilot/physician recovery programs to apply to other groups, with an emphasis on affluent addicted and dysfunctional family members. 

For pilots and physicians, maintaining their license to fly or practice medicine is an obvious incentive to comply with treatment recommendations.  For others, the task is to find something similar in their lives that they value, such as access to funds, resources, employment, relationships or status.  We find this process – the use of pressure or therapeutic leverage – can be a very effective tool to encourage compliance with treatment recommendations during and after in-patient treatment. Click “Download” to read more.


Below is an example of a return to work agreement. Agreements such as these are vital when we are requiring people to comply with treatment in order to maintain employment. They need to be straight forward and lay out clear expectations for the recovering addict.